Enhancing safety of transscleral diode cyclophotocoagulation: Check the tip before use

Purpose: To report an unusual case of scleral burn during Transscleral Diode Laser Cyclophotocoagulation (TDLC) caused by pigment on the laser probe tip. Case Report: A 56-year-old man underwent TDLC for severe glaucoma refractory to conventional treatments. During the procedure, he developed a scleral burn attributed to pigment on the laser probe tip. The burn healed spontaneously with topical treatment alone, highlighting the potential for scleral tissue to heal remarkably without further surgical intervention. Conclusion: This case report underscores the importance of vigilance during TDLC procedures and careful management of potential pigment sources to prevent scleral damage.